第１２７回 WORKSHOP報告（５月７日） / 参加者９２名
１．新人の方の自己紹介
２．会場の様子
３．会場の様子
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《 今回のworkshop 》
○workshop参加人数：９２名（うち新人の方：７名）
○【前半】：Health care systems
○【後半】：Gambling in Japan
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みなさまこんばんは、E’s club幹事のKです。
５月７日（土）開催の第１２７回workshopの詳細をお送りいたします。
今回もE先生をお迎えしてのworkshopとなります。
E先生には後半のマテリアルをご作成いただきました。
前半のマテリアルはKさんにご作成いただきました。
テーマは「医療制度」です。
[今週のマテリアル]
＜FIRST HALF＞
Title: Health care systems
1. Please share the information about family doctor/pharmacist.
かかりつけ医/薬剤師について知っている内容を共有してください。
2. What do you think about family doctor/pharmacist?
かかりつけ医/薬剤師についてどう思うか。
3. Do you use prescription note?
お薬手帳を利用しているか。
4. Do you use generic drug? Why do you or don’t you use generic drug?
後発医薬品を利用しているか、またその理由は。
5. Have you ever consult with doctor or pharmacist when you thought you experienced an adverse event of medicine?
副作用だと思われる症状が出た時に医師/薬剤師に相談したことはあるか。
6. What kind of health care systems do you want in the future?
今後どのような医療制度があって欲しいと思うか。
参考リンク（Japan Times）
How Japan is tweaking the cost of health care
April 1 revisions aim to unclog large hospitals, boost efficiency
The price of health care is changing.
On Feb. 10, a government medical council approved a long list of revisions for the fees hospitals and pharmacies can charge under the nation’s public health insurance program.
The dictionary-thick list reflects an effort by the government to reduce wastage, improve efficiency and encourage community-based health care, by tweaking the earnings of professionals and the costs patients have to pay.
Under Japan’s universal health care system, all residents are required to join the public health insurance scheme. In exchange, they receive access to government-approved procedures and prescriptions, for which they pay only 30 percent of the cost or less.
The fee changes, which are approved every two years and will take effect on April 1, are a key policy tool for the government. In a rapidly aging society, needs for medical care are surging without a proportional increase in funds.
Here are highlights of this year’s fee review, particularly those with a visible impact on consumers:
Community care
The government is pushing for community-based care by increasing pay for family doctors who treat patients away from hospitals, such as by visiting patients in their homes.
The government wants to steer people away from bed-blocking inpatient care and into home-based or outpatient care. As part of that policy, it has created new pay categories for dementia specialists and pediatricians who see patients on a regular basis.
Hospital surcharges
“Universal access” in Japan’s health care has long meant that many patients rush to large hospitals, such as university-affiliated institutions, even for such common complaints as colds. This partly explains long waits at big hospitals, a situation described as “a three-minute consultation with a doctor after a three-hour wait.”
To discourage this, some hospitals have already introduced surcharges of \3,000-\4,000 for people who show up without a referral letter from a doctor. The government is now making it mandatory for large hospitals to levy a surcharge of at least \5,000 on a first visit by any patient without a referral and at least \2,500 for subsequent visits.
The same goes for dentistry, where patients will be charged at least \3,000 for visiting the dental department of a large hospital without a referral and \1,500 for visits thereafter.
Pharmacists and dentists
Community-based care will be expanded to cover pharmacists and dentists.
Dentists who see their patients regularly and offer early intervention for tooth decay and periodontal disease will be rewarded.
Extra fees will also be paid to pharmacies whose customers name them as their designated family pharmacy.
The medical council is also cutting fees for pharmacies that open shop outside large hospitals and process prescriptions issued by those hospitals only.
The government believes those pharmacies – known as monzen yakkyoku (literally, in-front-of-the-hospital-gate pharmacies) – are not doing enough to serve patients’ needs, as they are able to survive commercially thanks to their prime location without being required to provide good service.
Under the new pay table, the fee such pharmacies receive for preparing medicine will be cut to \200 from the current \410 per prescription. The fee does not include the cost of medicine itself.
It is unclear, however, whether the move will have the intended effect of penalizing such pharmacies, because they might end up getting more business: Less pay for pharmacies means lower fees for patients. Pharmacies that handle prescriptions from a variety of hospitals, not just the nearest one, will avoid the cut in fees.
Generic drugs
The prices of newly released generic drugs will be reduced to 50 percent of the patented versions. They are currently priced at 60 percent. Patients will begin to see more generic names – or the actual ingredients – of drugs printed on their prescriptions, as the government is adding \30 for every prescription that lists them.
Quitting smoking
Young smokers who want to kick the habit will have easier access to doctors.
Those under age 35 will get 70 percent of their nicotine addiction treatment covered by public insurance.
Coverage has so far been limited to those who register 200 or more in the so-called Brinkman Index, derived by multiplying the number of cigarettes smoked per day by the number of years of smoking. The requirement will be removed for those under age 35, to offer young people a chance to stop smoking before they get heavily addicted.
Heating/cooling pads
Orthopedic specialists often prescribe heating or cooling pads for medical conditions, but some patients are known to ask doctors to bump up the number prescribed because the pads are more expensive to buy over the counter. To stop this, the pads will be limited to 70 sheets per prescription under the insurance scheme.
Robotic exoskeletons
The insurance coverage of HAL robot suits developed by Tsukuba, Ibaraki Prefecture-based venture Cyberdyne has been approved, to assist with lower-limb rehabilitation of people with progressive neuromuscular diseases. These conditions include spinal muscular atrophy, Charcot-Marie-Tooth Disease and muscular dystrophy. This will benefit some 3,400 patients across the country. The suits provide extra power for limb movements.
＜LATTER HALF＞
<Agenda>
Gambling in Japan.
<References>
Former Giants pitcher Kasahara arrested in gambling probe
Kyodo Apr 29, 2016
Former Yomiuri Giants pitcher Shoki Kasahara, who has admitted betting on baseball, was arrested on Friday on suspicion of illegal gambling along with restaurant operator Satoshi Saito.
Kasahara is one of four Giants pitchers who have been released and suspended after admitting to betting on baseball games. He and two others, Satoshi Fukuda and Ryuya Matsumoto, confessed to the illegal betting last October, while a fourth pitcher, Kyosuke Takagi, owned up to gambling in March.
The first three received indefinite suspensions from Nippon Professional Baseball, while Takagi received a one-year ban.
According to the Metropolitan Police Department, Saito organized a betting scheme and took a commission on bets, including 15 different wagers by Kasahara on pro and high school baseball games between March 2014 and August 2015.
“I’ve ruined the lives of Takagi-san and Matsumoto by soliciting them. I regret it,” Kasahara told Kyodo News earlier this month.
Saito said, “We as friends have been betting on computer games and golf and I taught (betting on baseball) along those lines. I didn’t know players other than Kasahara were involved until the things were exposed, but I was thinking there was someone else betting through Kasahara as he was starting to wager more money.”
“We’ll thoroughly cooperate with the police investigation to assemble the picture of the two soliciting gambling on baseball within the team,” Yomiuri said in a statement.
NPB commissioner Katsuhiko Kumazaki said, “Our investigations committee has continued its investigation and has been cooperating with the authorities. We take the arrests seriously and we’ll take preventative measures with a greater sense of urgency.”
After the scandal broke late last year, the Central League club announced in November that it would release Fukuda, Kasahara and Matsumoto.
Atsushi Harasawa, the team’s representative to Nippon Professional Baseball, also resigned, at the time.
The scandal widened to include Takagi in March. The club apologized for causing trouble and announced team owner Kojiro Shiraishi, team chairman Tsunekazu Momoi and supreme adviser Tsuneo Watanabe would step down to accept responsibility.
<Questions>
1. What do you think of gambling?
2. Do you like going to horse racing?
3. Have you ever played pachinko?
4. Are there other ways you’ve enjoyed gambling in Japan or abroad?
5. Is gambling good for the economy? Should we encourage more legal gambling?
6. Why should we stop people from gambling if they really want to gamble?
7. What is the role of organized crime in gambling?
8. Should legalized gambling be shut down due to its damage to society?
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入会申込フォーム
https://english-speaking-club.com/cms/?page_id=93
よりお申し込みください。お待ちしています！
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| 01 | E's clubとは･ごあいさつ |
| 02 | サークルの８つのウリ |
| 03 | 学習会の流れ |
| 04 | レベルについて |
| 05 | スタッフ紹介・参加者の声 |
| 06 | 開催報告･過去の題材 |
| 07 | FAQ・会則 |
